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LONE STAR REVELATION LLC NPI 1871355636


NPI Information

NPI: 1871355636
Provider Name: LONE STAR REVELATION LLC

Doing Business As: REVELATION COUNSELING SERVICES

Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
1811 S LAREDO ST STE 111
SAN ANTONIO, TX
ZIP 78207
Phone: (210) 744-4828
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LONE STAR REVELATION LLC is a professional counselor in San Antonio, TX. LONE STAR REVELATION LLC NPI is 1871355636. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Revelation Counseling Services.

The provider's business location address is:

1811 S LAREDO ST STE 111
SAN ANTONIO, TX
ZIP 78207-019
Phone: (210) 744-4828
Fax: (210) 229-8973

The provider's authorized official is Jacqueline A. Hernandez .
The authorized official title is Founder/ceo and has the following contact phone number (210) 324-0658.

The enumeration date for this NPI number is 1/26/2024 and was last updated on 2/20/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP1600XCounselorPastoralNo
2103TC1900XPsychologistCounselingNo
3103TP2701XPsychologistGroup PsychotherapyNo
41041C0700XSocial WorkerClinicalNo
5163WP0808XRegistered NursePsychiatric/Mental HealthNo
6171400000XHealth and Wellness CoachNo
7172V00000XCommunity Health WorkerNo
82084P0800XPsychiatry & NeurologyPsychiatryNo
92084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryNo
10363LC1500XNurse PractitionerCommunity HealthNo
11363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
12364SP0808XClinical Nurse SpecialistPsychiatric/Mental HealthNo
13374U00000XHome Health AideNo
14390200000XStudent in an Organized Health Care Education/Training ProgramNo
15101YP2500XCounselorProfessionalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.